腹腔镜手术与传统外科手术治疗胆囊结石的临床效果对比分析

卓信斌 曾岳岳 谢丽斓 林德新 余幼凤

腹腔镜手术与传统外科手术治疗胆囊结石的临床效果对比分析

卓信斌 曾岳岳 谢丽斓 林德新 余幼凤

目的 探讨腹腔镜手术与传统外科手术治疗胆囊结石的临床效果。方法 选取2014年1月～2015年12月于我院就诊的胆囊结石患者共52例，并随机分组，传统组行传统外科手术治疗，腹腔镜组采取腹腔镜微创胆囊切除术治疗，对比分析两组患者的临床疗效以及术后并发症的发生率。结果 治疗后，腹腔组的临床总有效率为96.15%，明显优于传统组的73.08%，疗效显著，组间差异具有统计学意义（P＜0.05）；治疗中，胆管受损、肠粘连、切口感染等是主要并发症，腹腔镜组的并发症发生率明显低于传统组，组间对比差异具统计学意义（P＜0.05）。结论 临床上治疗胆囊结石时，腹腔镜治疗较之传统外科手术治疗临床疗效显著，安全性高、操作简单，且术后恢复良好，值得在临床上大力推广和使用。

腹腔镜手术；传统外科手术；胆囊结石；临床效果

【Abstract】

Objective To evaluate the clinical effect of laparoscopic surgery and conventional surgical in the treatment of gallstones. Methods 52 cases with gallbladder stone from January 2014 to December 2015 in our hospital were selected and were randomly divided into two groups， the conventional treatment group underwent conventional surgery， the laparoscopic group was given minimally laparoscopic cholecystectomy， the clinical efficacy andthe postoperative complications of two groups were compared and analyzed. Results After treatment， the total effective rate of thelaparoscopic group was 96.15%， was significantly better than that of the conventional group（73.08%）， had significant effect， there were significant difference between two groups， with statistical significance（P＜0.05）； In the treatment， the bile duct damage， adhesions， wound infection were the major complication， the complication rate of laparoscopic group was significantly lower than the conventional group， there were significant difference between two groups，with statistical significance（P＜0.05）. Conclusion The clinical treatment of gallstones， laparoscopic surgery compared with traditional surgical treatment significant clinical effect and safety， operation is simple，and postoperative recovery is good， and it is worthy of using in clinical practice.

【Key words】Laparoscopic surgery， Traditional surgery， Gallbladder stone， Clinical effect

当前临床中，腹腔镜手术在胆囊结石治疗中具有明显的应用优势，并已逐渐取代传统外科手术治疗，成为胆囊结石治疗的主要方法，其手术治疗具有微创性、安全性、简单等特点，且治疗效果显著，术后恢复良好。研究表明，较之传统外科手术治疗，腹腔镜手术优越性明显。本次研究的主要目的是探讨腹腔镜手术与传统外科手术治疗胆囊结石的临床效果，现报道如下。

1　资料与方法

1.1 一般资料

选取2014年1月～2015年12月于我院就诊的胆囊结石患者共52例，并随机分为腹腔镜组和传统组，每组各有患者26例。……